Lupus Hepatitis

3 Learning Points Today:

1.  If you have Gilbert's Syndrome (a common familial hyperbilirubinemia), you are more likely to have a long life!  I now know 3 residents in this program with Gilbert's and am both impressed and jealous.  The suspected mechanism of this are the antioxidant properties of bilirubin.  Eat your blueberries.  https://www.ncbi.nlm.nih.gov/pubmed/23701650

2.  Lupus Hepatitis is quite rare, especially as the sole presenting symptom/disease.  Those with lupus are more likely to develop drug-induced hepatitis from the medications they take to control their SLE rather than and autoimmune-mediated hepatitis.

3. Lupus Hepatitis, like autoimmune hepatitis, is treated first line with steroids.